Active NPI
Rowansom Dept of Family Practice
- Family Medicine Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROWANSOM DEPT OF FAMILY PRACTICE
- Practice address
- 42 East Laurel Road
Udp, Suite 2100
Stratford, NJ 08084 - Phone
- (856) 566-7020
- Fax
- (856) 566-6188
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Rieker
- Title
- Interim Chief Financial Officier
- Phone
- (856) 770-5729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
42 East Laurel Road
Udp, Suite 2100
Stratford, NJ 08084
Mailing address
PO Box 635
Bellmawr, NJ 08099-0635
Phone (856) 566-6706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3215709 | Medicaid | NJ | |
| CA1750 | Other | NJ | RR MEDICARE |
Other names 1
- UMDNJ-SOM Dept of Family Practice
National Provider Directory
National Provider DirectoryLocations
854 S White Horse Pike
Unit 4
Hammonton, NJ 08037
Phone (609) 704-0185
777 S White Horse Pike
Ste D1
Hammonton, NJ 08037
Phone (609) 561-0033
16 W Main St
Marlton, NJ 08053
Phone (609) 770-5736
2001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 922-0082
1025 Briggs Rd
Ste 144
Mount Laurel, NJ 08054
Phone (856) 642-0255
416 Sicklerville Rd
Ste 14
Sicklerville, NJ 08081
Phone (856) 728-8900
42 E Laurel Rd
#2100
Stratford, NJ 08084
Phone (856) 566-7020
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Blackwood, NJ
- NPI 1982684056
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1093795163
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1093795478
-
- Family Medicine Physician
- Moorestown, NJ
- NPI 1578533519
-
- Optometrist
- Williamstown, NJ
- NPI 1376600239
-
- Psychiatry Physician
- Mount Laurel, NJ
- NPI 1174596944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1790765055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "BELLMAWR",
"state": "NJ",
"postal_code": "080990635",
"telephone_number": "856-566-6706",
"fax_number": "856-566-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 EAST LAUREL ROAD",
"address_2": "UDP, SUITE 2100",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "08084",
"telephone_number": "856-566-7020",
"fax_number": "856-566-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWANSOM DEPT OF FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "RIEKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICIER",
"authorized_official_telephone_number": "856-770-5729"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3215709",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CA1750",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UMDNJ-SOM Dept of Family Practice",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.